survive and thrive · survive and thrive: transforming care for every small and sick newborn...
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#EveryChildAlive#EveryNewborn#EveryNewborn #EveryChildAlive
SURVIVE and THRIVE
#EveryNewborn #EveryChildAliveSURVIVE and THRIVE: Transforming care for every small and sick newborn
Access report at https://www.who.int/maternal_child_adolescent/documents/care-small-sick-newborns-survive-thrive/en/
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WHY THIS REPORT?
• Global target to achieve health for all is not possible
unless the world transforms care for every newborn
• Without rapid progress, some countries will not meet
this target for another 11 decades
Chapter 1: Now is the time to transform care for newborns
Chapter 2: What the numbers say
Chapter 3: Deliver the care they are entitled to
Chapter 4: Ensure they thrive
Chapter 5: Use data for action
Chapter 6: Immediate action is needed
#EveryNewborn #EveryChildAliveSURVIVE and THRIVE: Transforming care for every small and sick newborn
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CHAPTER 1
Now is the time to
transform care for
newborns
Speakers:
10 am CEST Mary Kinney, Save the Children. Dr Ajay Khera, Commissioner MCAH in the Ministry of Health
1 pm CEST Dr. Lily Kak, USAID. Silke Mader, European Foundation for the Care of Newborn Infants
CHAPTER 1. Now is the time to transform care for newborns
#EveryNewborn #EveryChildAliveSURVIVE and THRIVE: Transforming care for every small and sick newborn
KEY MESSAGES
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• Meeting global targets for the survival of newborns and children aged under 5 years requires adding special and intensive levels of care to well-established obstetric and essential newborn health services.
• Every newborn has the right to survive and thrive.
• Family-centred care offers proven benefits for newborns, as well as for parents, families and health workers.
• Lessons from the past inform priorities for our future.
CHAPTER 1. Now is the time to transform care for newborns
#EveryNewborn #EveryChildAliveSURVIVE and THRIVE: Transforming care for every small and sick newborn
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Projected year that each region will reach SDG national target and equal the average
neonatal mortality rate for high-income countries
Newborn deaths are declining too slowly to meet agreed global targets.
FACT
Extensive extra measures
needed to achieve the target in
all settings:
• Effective high coverage of
antenatal care,
essential childbirth/newborn
care, postnatal care,
inpatient care for small and
sick newborns
MYTH
Roll-out of essential newborn
care at current rate will achieve
the 2030 SDG target of ≤12
newborn deaths per 1000 live
births.
Target by 2030:
National neonatal NMR ≤12
CHAPTER 1. Now is the time to transform care for newborns
#EveryNewborn #EveryChildAliveSURVIVE and THRIVE: Transforming care for every small and sick newborn
Definitions: Who are the most vulnerable newborns?
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• Vulnerability is most acute in low- and middle-income countries
Clinical perspective Public health perspective
Newborns who are born:
• too soon (< 37 weeks’ gestation)
• too small (< 2500 g birth weight)
• acutely ill
Newborns who are born small and sick in:
• the most marginalized groups
• rural areas
• urban slum environments
• humanitarian settings
MYTH: Focus is needed at the
community level, not the hospital level.
FACT: Globally, 80% of births now take place in
facilities; community care is more effective when
linked to care in health facilities
CHAPTER 1. Now is the time to transform care for newborns
#EveryNewborn #EveryChildAliveSURVIVE and THRIVE: Transforming care for every small and sick newborn
Visionary strategies and frameworks
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Millennium Development Goals (MDGs) Sustainable Development Goals (SDGs)
Every Newborn Action Plan
WHO Framework on
Integrated People-Centred
Health Services
Universal
Health
Coverage
(UHC)
Safe Motherhood InitiativeConvention on the
Rights of the Child (CRC)
Global Strategy for Women’s,
Children’s and Adolescents’ Health
CHAPTER 1. Now is the time to transform care for newborns
#EveryNewborn #EveryChildAliveSURVIVE and THRIVE: Transforming care for every small and sick newborn
Every newborn’s rights
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The Convention of the Rights of the Child (CRC)
ensures newborn health is a human rights issue:• All children have a right to the highest attainable standard
of health and health care
• WHO Member States are obliged to
reduce infant and child mortality – CRC Article 24
Other declarations from professional
associations/expert bodies:• Parma Charter of the rights of the newborn (2011)
• Abu Dhabi Declaration for Every Woman Every
Child Everywhere (2015)
CHAPTER 1. Now is the time to transform care for newborns
#EveryNewborn #EveryChildAliveSURVIVE and THRIVE: Transforming care for every small and sick newborn
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CHAPTER 1. Now is the time to transform care for newborns
#EveryNewborn #EveryChildAliveSURVIVE and THRIVE: Transforming care for every small and sick newborn
How inpatient care for small and sick newborns fits within the
continuum of care for women’s and children’s health
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Adapted from: Every Newborn Action Plan.
#EveryNewborn #EveryChildAliveSURVIVE and THRIVE: Transforming care for every small and sick newborn
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in collaboration with
#EveryChildAlive#EveryNewborn#EveryNewborn #EveryChildAlive
Transforming care for every
small and sick newborn